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Oral Manifestations Associated to Paracoccidioidomicosis and Histoplasmosis
Merino-Alado, Rommie; Mata-Essayag, Sofía; Pineda, Jacinto; Moronta, Gustavo; Briceño-Caveda, Elsi; Mujica, Valentina; Landaeta, María Eugenia; Garrido, Liseloth; Pineda, Vanessa; Colella, María Teresa.
  • Merino-Alado, Rommie; s.af
  • Mata-Essayag, Sofía; s.af
  • Pineda, Jacinto; s.af
  • Moronta, Gustavo; s.af
  • Briceño-Caveda, Elsi; s.af
  • Mujica, Valentina; s.af
  • Landaeta, María Eugenia; s.af
  • Garrido, Liseloth; s.af
  • Pineda, Vanessa; s.af
  • Colella, María Teresa; s.af
Pesqui. bras. odontopediatria clín. integr ; 18(1): 3846, 15/01/2018. tab, ilus
Article in English | LILACS, BBO | ID: biblio-965614
ABSTRACT

Objective:

To determine the frequency and clinical forms of oral manifestations associated to Paracoccidioidomycosis (PCM) and Histoplasmosis. Material and

Methods:

481 medical records of outpatients referred to the Medical Mycology Department were reviewed since 2009 to 2016. Data were analyzed using descriptive statistical methods.

Results:

47 (9.77%) cases had oral manifestations, 29 (61.70%) were associated to PCM and 18 (38.29%) to histoplasmosis. For PCM, male-female ratio was 81 and 11 for histoplasmosis. The average age for PCM was 48 years old and 53 for histoplasmosis. All the PCM patients had more than 1 oral structure affected 44.82% were gingival lesions and 27.58% palate. In patients with histoplasmosis, 6 (33.33%) were lesions affecting palate and 6 (33.33%) involving tongue. For both entities, painful ulcers and granulomatous-like lesions were the most prevalent clinical forms; however, we observed a wide range of other oral manifestations. Regarding PCM patient's comorbidities, 3 (10.34%) cases had HIV/AIDS, 8 (27.58%) histoplasmosis and 2 (6.89%) carcinomas. Whereas the comorbidities of patients with histoplasmosis, 2 (11.11%) had HIV/AIDS and 1 (5.55%) had carcinoma.

Conclusion:

In endemic countries for both mycoses, dentists must be aware of patients with mouth lesions, take advantage of epidemiologic clues that suggest risk factors and be acquainted with all the current diagnostic tests in order to make a quick diagnosis and treatment in highly suspicious cases.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Oral Manifestations / Paracoccidioidomycosis / Histoplasmosis / Mycoses Type of study: Observational study / Risk factors Limits: Adult / Female / Humans / Male Language: English Journal: Pesqui. bras. odontopediatria clín. integr Journal subject: Dentistry Year: 2018 Type: Article

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Full text: Available Index: LILACS (Americas) Main subject: Oral Manifestations / Paracoccidioidomycosis / Histoplasmosis / Mycoses Type of study: Observational study / Risk factors Limits: Adult / Female / Humans / Male Language: English Journal: Pesqui. bras. odontopediatria clín. integr Journal subject: Dentistry Year: 2018 Type: Article